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Home My WebLink AboutPERMIT APP - 2-9-21All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Permit Number: Building Permit Application PERMIT TYPE:GAS PROPOSED IMPROVEMENT LOCATION: Address: 12772 NW MARINER CT Property Tax ID #: 4425-603-0010-000-1 Site Plan Name: KLEIN Project Name: KLEIN DETAILED DESCRIPTION OF WORK: Commercial Residential x Lot No. Block No. REPLACING OLD LP TANK, ADDING EXTER10H LINt5 I u (3) vvr{ i r-M rl r 1 MMO , ra.0 ov 1 TO FIREPLACE AND COOKTOP CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 7300 Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameSusan Rowland Klein Name: Cheyenne Ellison Address:12772 NW Mariner CT Company: Elite Gas Contractors City: Palm City State: _ Zip Code: 34990 Fax:(772)220-1829 Phone No.(772)220-9678 Address:2130 Poma Drive City: Palm City State: FL Zip Code: 34990 Fax: (772)220-1829 Phone No(772)220-9678 E-Mail:emcintosh@elitegasco.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailemcintosh@elitegasco.com State or County License 18361 If value of construction is 525uo or more, a ntwrcucu rvonce or If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Not Na City: State: Zip: Phone MORTGAGE COMPANY: _ Not Applicable Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable 10FTiin Address: City: uLy Zip: Phone: Zip: OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Instanaaon as molcaLea. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ., Au Ar nnm" BEFORE oornnnlll vniM NnTIrF of COMMENCEMENT." ASignatureAOwner/ O Lessee/Contractor as Agent for Owner Signature o ontractor/License Holde STATE OF FLORIDA STATE OF FLOf�IDA COUNTY OF A4Qtl - -r, COUNTYOF /1/(4✓- YN The f Ding instrument was acknowledged before me ,20by thisydayof it�� The for Ding instrument was acknowledged before me this�t�daayof r�✓t/C.200,*I-by Name oLoerson making statement. Name of pers6n makings tement. Personally Known `/ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification oduced P duced (Slgnatur and (Signatur o 0 .faT �e St a of Florida �° r. aa,, ionytk otary Public St t of Florida Commission No. Desiree N Mcl IICommission No. ' fb�htosh y on GG 283399 ay commiu'on GG za3as9 ' Ez fires 12/11/2022 G"ra PREVIEWS 2022 FRONT SUPERVISOR PLANSVEGETATION SEA TCOUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.